INTER- AND INTRA-RATER VARIABILITY OF TESTING VELOCITY WHEN ASSESSING LOWER LIMB SPASTICITY
Megan Banky, Ross A Clark, Yong-Hao Pua, Benjamin F Mentiplay, John H Olver, Gavin Williams
JOURNAL OF REHABILITATION MEDICINE | FOUNDATION REHABILITATION INFORMATION | Published : 2019
OBJECTIVE: To establish the variability of fast testing velocity and joint range of motion and position when assessing lower-limb spasticity in individuals following neurological injury. DESIGN: Observational study of people with lower-limb spasticity. SUBJECTS: Patients with an upper motor neurone lesion (n = 35) and clinicians experienced in spasticity assessment (n = 34) were included. METHODS: The Modified Tardieu scale (MTS) was completed on the quadriceps, hamstrings (2 positions), gastrocnemius and soleus for each participant's more affected lower limb by 3 assessors. Mean absolute differences (MADs) were used to calculate variability as a measure of reliability. RESULTS: Variability ..View full abstract
This project was supported by funding obtained from the Australian Physiotherapy Research Foundation Seeding Grant, Royal Automobile Club of Victoria Sir Edmund Herring Memorial Scholarship, and the Epworth Research Institute.